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Volume 3, Issue 3 of Topics in Integrative Health Care is Now Available



Published on September 26, 2012

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Topics in Integrative Health CareVolume 3, Issue 3 of Topics in Integrative Health Care is Now Available.

Topics in Integrative Health Care (TIHC) is a peer-reviewed, open-access quarterly online journal.  TIHC can be located on the web at http://www.tihcij.com.

TIHC is dedicated to advancing the integration of multiple disciplines, both complementary and mainstream, into diverse health care settings in order to provide optimal patient care. It presents themed issues on topics of current relevance to health care providers interested in integrative, conservative care, health promotion and disease prevention. It includes international, interdisciplinary Grand Rounds in order to facilitate communication and patient comanagement among various health professions, for the good of patients everywhere.

The current issue’s table of contents:

Editorial


Topics in Integrative Health Care
Cheryl Hawk, DC, PhD, CHES 
Topics in Integrative Health Care 2012,Vol. 3(3)  ID: 3.3001


Topics in Integrative Health Care welcomes unsolicited manuscripts with original research, Grand Rounds, clinical briefs and “fast facts” collections. All submissions are peer-reviewed.

Commentary

The Supreme Court Speaks, U.S. Health Reform Continues
Daniel Redwood, DC
Topics in Integrative Health Care 2012, Vol. 3(3)  ID:  3.3002

Research

Chiropractic Utilization and Medicaid Coverage for Individuals with Arthritis: Making the Case for More Accessible and Affordable Chiropractic Care
Ekele I. Enyinnaya, DC, MS, Ann Gill Taylor, EdD, RN, FAAN
Topics in Integrative Health Care 2012, Vol. 3(3)  ID:  3.3003

Purpose: Effective utilization of complementary and alternative medicine (CAM) for management of chronic conditions has been steadily increasing over the past decade. Access to provider-based CAM services such as chiropractic is determined, in part, by healthcare coverage. Chiropractic care is covered by Medicaid although the coverage may be limited based upon individual state regulations. The purpose of this study was to evaluate patterns of chiropractic and other healthcare use in the U.S by Medicaid recipients with arthritis, the number one chronic musculoskeletal condition and the leading cause of disability in the U.S.

Methods: Weighted proportions from a nationally representative longitudinal cohort from Panel 13 (n = 18,287) of the Medical Expenditure Panel Survey spanning 2008-2009 were selected for this study to represent healthcare coverage, health status, and healthcare utilization among individuals with arthritis. The population was stratified by self-report physician-diagnosed arthritis, and healthcare coverage status. Chi-square tests were used to compare differences among healthcare coverage and arthritis status to demographics, health status, and healthcare utilization.

Results: Medicaid recipients reported the least utilization of chiropractic services compared to the privately insured and the uninsured (P < .01). More Medicaid recipients utilized office-based physician visits, filled prescription drugs, and reported poorer perceived general and mental health than the privately insured (P < .01).

Conclusion: Chiropractors need to be aware of the demographics of individuals with chronic conditions receiving Medicaid who may potentially benefit from their services and continue efforts at increasing availability of their services to vulnerable groups through healthcare reform.

The Effect of the Tri-Core® Cervical Pillow on Sleep Outcomes Among Whiplash Associated Disorder (WAD) Patients
Jay Greenstein, DC, CCSP, CGFI-L1, CKTP, Barton Bishop, PT, DPT, CSCS, SCS, CGFI-L2, CKTP, Jean Edward, RN, BSN, Allen Huffman, DC, CKTP, BS, Danielle Davis, Robert Topp, RN, PhD
Topics in Integrative Health Care 2012, Vol. 3(3) ID: 3.3004

Objectives: The purpose of this study was to determine the effectiveness of a semi-customized orthopedic cervical pillow on sleep outcomes in Whiplash Associated Disorder (WAD) patients.

Methods: A convenience sample of forty-three WAD patients who participated in this study was randomly assigned to an intervention or control group. The intervention group was given a Tri-Core® (Core Products International, Inc., Osceola) semi-customized orthopedic cervical pillow for sleep. Both the intervention and control groups received the Funhab® rehabilitation protocol (Sports and Spine Rehab Holdings Inc., Fort Washington). Outcome measures collected at the initial visit (baseline) and at discharge in both groups included characteristics of self-reported sleep operationalized by research participants completing the Medical Outcomes Study (MOS) Sleep questionnaire. Duration in the study varied among patients depending on individual progression and needs. Data were analyzed using descriptive statistics and repeated measures ANOVA.

Results: There were no differences between the control group and intervention group in sleep problems, sleep disturbances and sleep adequacy. The only significant finding between groups was the improvement in self-reported snoring in the intervention group.

Conclusion: These findings indicate that WAD patients who use a semi-customized cervical pillow in combination with a standard rehabilitation protocol did not experience improvements in most of their sleep outcomes beyond those experienced by a control condition that used the rehabilitation protocol alone. The single variable which did decline among patients who used the TriCore® pillow and increased in the control condition was self-reported snoring. Future research is warranted to further examine other sleep characteristics associated with snoring as a result of using the TriCore® cervical pillow and the Funhab rehabilitation program.

Clinical Brief: Recognition and Treatment of the Elusive Sports Hernia
Clinton Daniels, DC, MS, Frank Scali, DC
Topics in Integrative Health Care 2012, Vol. 3(3) ID: 3.3005

Sports hernia is a chronic groin injury in athletes related to repetitive kicking, twisting, or turning at high speeds. A cluster of five signs and symptoms warrants investigation of sports hernia: (1) a complaint of deep groin/ lower abdominal pain, (2) pain exacerbated by sport-specific activities and relieved at rest, (3) palpable tenderness over the pubic ramus, (4) pain with resisted hip adduction, and (5) pain with resisted abdominal curl-up. The diagnosis is clinical in nature and it is appropriate that health care providers are well educated and knowledgeable in the clinical presentation, differential diagnosis, and management options when confronted with athletes suffering from groin pain. This article attempts to provide a thorough summary of involved anatomy, clinical diagnosis, imaging, manual therapy and surgical management.

Fast Facts
THIC Staff
Topics in Integrative Health Care 2012, Vol. 3(3) ID: 3.3006

Readers are welcome to contribute to Fast Facts. Please include the original abstract (with citation) that is the source of your contribution. Contributors’ names will be included along with the item.

The following is an excerpt:

This pilot randomized trial found that it was feasible for a multidisciplinary, outpatient team composed of CAM and conventional practitioners to deliver coordinated, individualized interventions to patients with subacute LBP. Results showed a promising trend for benefit of treating patients with persistent LBP with this integrated care model.


Meyer SP. Eisenberg DM, Buring JE, Hrbek AL, et al. A model of integrative care for low-back pain. J Altern Complement Med. Apr 2012;18(4):354-362.

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